Individual ProviderJesus GuajardoSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address13336 Industrial Rd Ste 101, Omaha, NE 68137-1124(402) 895-4000PECOS EnrollmentBased on the most recent information from CMS, provider Jesus Guajardo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1154670842Provider TypeIndividualFull NameGuajardo, JesusGenderMaleSole ProprietorNoEnumeration Date9/10/2012Last Updated9/10/2012Contact InformationPractice LocationPractice Address13336 Industrial Rd Ste 101, Omaha, NE 68137-1124Phone(402) 895-4000Fax(402) 496-4209Mailing LocationMailing Address13336 Industrial Rd Ste 101, Omaha, NE 68137-1124Phone(402) 895-4000Fax(402) 496-4209Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense1497Nebraska