Contact Information | |
---|---|
First Name | Kimberly |
Last Name | Smith |
Address | Rt. 1 Box 106E |
City | Pikeville |
State | TN |
Province | |
Zip/Postal Code | 37367 |
Country | Uganda |
Home Phone | 423 - 533-2767 |
Work Phone | 423 - 447-2457 |
Fax | |
Kimbesmith@aol.com | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Child |
Name of Injured | John Tyler - Smith |
Date of Injury | 12/03/96 |
Type of Injury | Obstetric |