Healthcare Provider Details

I. General information

NPI: 1518891902
Provider Name (Legal Business Name): SARAI GARCIA L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8074 S 1300 E
SANDY UT
84094-0743
US

IV. Provider business mailing address

3660 S OXFORD WAY
WEST VALLEY CITY UT
84119-4232
US

V. Phone/Fax

Practice location:
  • Phone: 801-618-8762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number11390346-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: