DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
112 |
09/29/2016 |
Paid |
$687.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
121 |
09/29/2016 |
Paid |
$445.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
132 |
09/29/2016 |
Paid |
$458.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
111 |
09/29/2016 |
Paid |
$687.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
151 |
09/29/2016 |
Paid |
$436.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
141 |
09/29/2016 |
Paid |
$188.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
131 |
09/29/2016 |
Paid |
$458.00 |
DO 6300 16071816505 |
n/a
|
Medical Services (Non-Physician) |
152 |
09/29/2016 |
Paid |
$436.00 |