Provider Demographics
NPI:1114359445
Name:ZUZUH, BAUDOUIN (PCA)
Entity Type:Individual
Prefix:
First Name:BAUDOUIN
Middle Name:
Last Name:ZUZUH
Suffix:
Gender:M
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 K ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2500
Mailing Address - Country:US
Mailing Address - Phone:202-293-2931
Mailing Address - Fax:202-293-3480
Practice Address - Street 1:1420 K ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2500
Practice Address - Country:US
Practice Address - Phone:202-293-2931
Practice Address - Fax:202-293-3480
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2016-02-16
Deactivation Date:2015-09-21
Deactivation Code:
Reactivation Date:2016-02-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide