Organization
ARCHISAND PROFESSIONAL SAND SCULPTORS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY NEAL LEBON (CEO)
(562) 577-9593
Entity
Organization
Contact information
Practice address
24991 SAUSALITO ST, LAGUNA HILLS, CA 92653-5627
(562) 577-9593
Mailing address
24991 SAUSALITO ST, LAGUNA HILLS, CA 92653-5627
(562) 577-9593
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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