Provider Demographics
NPI:1790514420
Name:AYOROA, ANDREA (MAC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:AYOROA
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 K ST NW APT 403
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-6803
Mailing Address - Country:US
Mailing Address - Phone:859-583-8111
Mailing Address - Fax:
Practice Address - Street 1:6 GRANT AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4357
Practice Address - Country:US
Practice Address - Phone:859-583-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist