MEDICARE: AYOROA HOLISTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1003637539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AYOROA HOLISTICS, LLC

Provider Business Mailing Address
First Line	:	1201 N GARFIELD ST APT 410
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-6810
Country	:	US
Telephone Number	:	301-941-7994
Fax Number	:	202-750-0094

Provider Business Practice Location Address
First Line	:	5480 WISCONSIN AVE
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-3530
Country	:	US
Telephone Number	:	301-941-7994
Fax Number	:	202-750-0094

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	ANDREA M AYOROA
Credential	:	L.AC., M.AC.
Telephone Number	:	859-583-8111

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	06/08/2026

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Directions to “AYOROA HOLISTICS, LLC ” Practice Location

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