DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
121 |
01/21/2015 |
Paid |
$160.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
111 |
01/21/2015 |
Paid |
$383.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
131 |
01/21/2015 |
Paid |
$20.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
141 |
01/21/2015 |
Paid |
$20.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
171 |
01/21/2015 |
Paid |
$40.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
151 |
01/21/2015 |
Paid |
$67.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
191 |
01/21/2015 |
Paid |
$20.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
181 |
01/21/2015 |
Paid |
$90.00 |
DO 9100 15010506027 |
n/a
|
Medical Services (Non-Physician) |
161 |
01/21/2015 |
Paid |
$40.00 |