Individual
MOHAMED TARAWALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 MARLYS DR W, WEST FARGO, ND 58078-2963
(701) 306-9811
Mailing address
1133 MARLYS DR W, WEST FARGO, ND 58078-2963
(701) 306-9811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200979
ND
163WH0200X
Home Health Registered Nurse
Primary
200979
ND
3747P1801X
Personal Care Attendant
Primary
200979
ND
Other
Enumeration date
06/30/2026
Last updated
07/28/2026
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