Individual
GRACE BROEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 7TH ST SE APT B, PUYALLUP, WA 98372-3852
(253) 677-1478
Mailing address
1023 7TH ST SE APT B, PUYALLUP, WA 98372-3852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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