Provider Demographics
NPI:1982895322
Name:SLEKYS, BRIGITA (MSAOM, LAC)
Entity Type:Individual
Prefix:MISS
First Name:BRIGITA
Middle Name:
Last Name:SLEKYS
Suffix:
Gender:F
Credentials:MSAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 11TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-2970
Mailing Address - Country:US
Mailing Address - Phone:310-753-4899
Mailing Address - Fax:
Practice Address - Street 1:318 LINCOLN BLVD STE 225
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-2863
Practice Address - Country:US
Practice Address - Phone:310-396-3635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10834171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist