All Medicaid billing entities listing ROLLOLAZO, EPHRAIM (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GREAT WALL CLINIC | KENT, WA | Dental Clinic/Center | $21K |