Provider Demographics
NPI:1396090270
Name:FOUODZING, VITRICE FERNAND
Entity type:Individual
Prefix:
First Name:VITRICE
Middle Name:FERNAND
Last Name:FOUODZING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 IRVING ST NE APT 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2449
Mailing Address - Country:US
Mailing Address - Phone:202-332-1314
Mailing Address - Fax:
Practice Address - Street 1:1814 IRVING ST NE APT 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2449
Practice Address - Country:US
Practice Address - Phone:202-332-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide