| PRM 1500 17111303853 |
Medical Services (Non-Physician) |
11/14/2017 |
Paid |
$140.00 |
| PRM 1500 17110703451 |
Medical Services (Non-Physician) |
11/08/2017 |
Paid |
$70.00 |
| PRM 1500 17090632695 |
Medical Services (Non-Physician) |
09/07/2017 |
Paid |
$70.00 |
| PRM 1500 17090632697 |
Medical Services (Non-Physician) |
09/07/2017 |
Paid |
$490.00 |
| PRM 1500 17052322761 |
Medical Services (Non-Physician) |
05/24/2017 |
Paid |
$120.00 |
| PRM 1500 17051622148 |
Medical Services (Non-Physician) |
05/17/2017 |
Paid |
$60.00 |
| PRM 1500 17041218816 |
Medical Services (Non-Physician) |
04/13/2017 |
Paid |
$533.25 |
| PRM 1500 17032817391 |
Medical Services (Non-Physician) |
03/29/2017 |
Paid |
$450.50 |
| PRM 1500 16121607208 |
Medical Services (Non-Physician) |
12/19/2016 |
Paid |
$180.00 |
| PRM 1500 16101801387 |
Medical Services (Non-Physician) |
10/19/2016 |
Paid |
$60.00 |
| PRM 1500 16082234702 |
Medical Services (Non-Physician) |
08/23/2016 |
Paid |
$300.00 |
| PRM 1500 16040120377 |
Medical Services (Non-Physician) |
04/04/2016 |
Paid |
$240.00 |
| PRM 1500 15100700662 |
Medical Services (Non-Physician) |
10/08/2015 |
Paid |
$120.00 |
| PRM 1500 15061527774 |
Medical Services (Non-Physician) |
06/16/2015 |
Paid |
$60.00 |
| PRM 1500 15051925224 |
Medical Services (Non-Physician) |
05/20/2015 |
Paid |
$60.00 |
| PRM 1500 15022615713 |
Medical Services (Non-Physician) |
02/27/2015 |
Paid |
$60.00 |
| PRM 1500 15012912352 |
VACCINES |
01/30/2015 |
Paid |
$180.00 |
| PRM 1500 14121707882 |
VACCINES |
12/18/2014 |
Paid |
$120.00 |
| PRM 1500 14120406656 |
VACCINES |
12/05/2014 |
Paid |
$180.00 |
| PRM 1500 14101702205 |
VACCINES |
10/20/2014 |
Paid |
$60.00 |
| PRM 1500 14082034032 |
VACCINES |
08/21/2014 |
Paid |
$120.00 |
| PRM 1500 14061726488 |
VACCINES |
06/18/2014 |
Paid |
$240.00 |
| PRM 1500 14051523344 |
VACCINES |
05/16/2014 |
Paid |
$120.00 |
| PRM 1500 14021113115 |
VACCINES |
02/12/2014 |
Paid |
$193.54 |
