DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
115 |
05/29/2013 |
Paid |
$112.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
118 |
05/29/2013 |
Paid |
$448.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
1110 |
05/29/2013 |
Paid |
$112.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
116 |
05/29/2013 |
Paid |
$112.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
111 |
05/29/2013 |
Paid |
$336.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
114 |
05/29/2013 |
Paid |
$112.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
119 |
05/29/2013 |
Paid |
$112.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
113 |
05/29/2013 |
Paid |
$1,008.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
112 |
05/29/2013 |
Paid |
$1,232.00 |
DO 1500 13051714014 |
n/a
|
Medical Services (Non-Physician) |
117 |
05/29/2013 |
Paid |
$336.00 |