Individual ProviderJessica Nicole ChavezCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850(661) 256-4519PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Nicole Chavez 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 2 days ago.Profile DetailsProvider ID1649589102Provider TypeIndividualFull NameChavez, Jessica NicoleGenderFemaleSole ProprietorNoEnumeration Date10/1/2010Last Updated10/1/2010Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxMailing LocationMailing Address2619 Summerchase Ave, Rosamond, CA 93560-6870Phone(661) 256-4519FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer