Healthcare Provider Details

I. General information

NPI: 1003637539
Provider Name (Legal Business Name): AYOROA HOLISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 WISCONSIN AVE
CHEVY CHASE MD
20815-3530
US

IV. Provider business mailing address

1201 N GARFIELD ST APT 410
ARLINGTON VA
22201-6810
US

V. Phone/Fax

Practice location:
  • Phone: 301-941-7994
  • Fax: 202-750-0094
Mailing address:
  • Phone: 301-941-7994
  • Fax: 202-750-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: ANDREA M AYOROA
Title or Position: ACUPUNCTURIST
Credential: L.AC., M.AC.
Phone: 859-583-8111