NANCEY UPSHAW, INC.
Massage Therapy at Marion Ave, Lake City, FL

License number
Florida MA 31532
Category
Restorative Service Providers
Type
Massage Therapist
Owner
Name: MRS. NANCEY WHITEHILL UPSHAW LMT
Title: OWNER/PRESIDENT
Phone: (386) 758-3577
Address
Address
323 S Marion Ave, Lake City, FL 32025
National Provider ID: 1811258098
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NANCEY UPSHAW, INC

Lake City, FL

Registration:
Apr 15, 2008
Addresses:
152 SE Hernando Ave, Lake City, FL 32025 (Physical)
323 S Marion Ave, Lake City, FL 32025
State ID:
P08000038168
Business type:
Florida Profit Corporation
Secretarys:
Nancey Upshaw (President, Director), 829 SW Summer Breeze Pl, Lake City, FL 32025 (Physical),George W Upshaw (Secretary), 829 SW Summer Breeze Pl, Lake City, FL 32025 (Physical)
Agent:
Upshaw, Nancey,152 SE Hernando Ave, Lake City, FL 32025 (Physical)
EIN:
26-2433038

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