Most Relevant Information
Provider Data
| NPI Number: | 1003000951 |
| Provider Name: | MACHEO KAHIL PAYNE |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2007 |
| Last Updated: | 09/04/2007 |
Provider Practice Location
9736 LAWLOR ST
OAKLAND
CA
946054735
Practice Location Phone/Fax
| Phone: | 5105621052 |
| Fax: |
Provider Mailing Location
4368 LINCOLN AVE
OAKLAND
CA
946022529
Provider Mailing Phone/Fax
| Phone: | 5105313111 |
| Fax: | 5105308083 |