Individual
JEFFERY RAY BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 930-7491
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 930-7491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IRYJNS
CA
Other
Enumeration date
11/13/2023
Last updated
08/07/2026
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