Individual
PITCHAYA PEARL KHONGKHANGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 W 5TH AVE, SPOKANE, WA 99204-2901
(844) 220-9885
Mailing address
210 SIMPSON PKWY APT 222, CHENEY, WA 99004-5003
(253) 391-9994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
WDL27RSB773B
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
01/22/2026
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