Individual
GUERLINE DIVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16259 TISONS BLUFF RD, JACKSONVILLE, FL 32218-0141
(904) 431-2131
Mailing address
16259 TISONS BLUFF RD, JACKSONVILLE, FL 32218-0141
(904) 431-2131
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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