Individual
MOHAMED TAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4683 SWALLOWTAIL PL, FAIRFAX, VA 22033-3742
(571) 383-7406
Mailing address
4683 SWALLOWTAIL PL, FAIRFAX, VA 22033-3742
(571) 383-7406
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0001246443
VA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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