Individual
STACEE RABER NAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 S SUNNYSIDE AVE, ELMHURST, IL 60126-4208
(206) 235-3579
Mailing address
619 S SUNNYSIDE AVE, ELMHURST, IL 60126-4208
(206) 235-3579
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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