Healthcare Provider Details

I. General information

NPI: 1942140348
Provider Name (Legal Business Name): PAULA SANABRIA JUDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 W 9000 S
WEST JORDAN UT
84088-5610
US

IV. Provider business mailing address

2904 N RED VELVET LN
SARATOGA SPRINGS UT
84045-3243
US

V. Phone/Fax

Practice location:
  • Phone: 801-569-5600
  • Fax:
Mailing address:
  • Phone: 801-318-4871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: