| Contact Information | |
|---|---|
| First Name | Carolyn H |
| Last Name | Jenkins |
| Address | 2545 Narrows Drive |
| Apt #2202 | |
| City | Tacoma |
| State | WA |
| Province | |
| Zip/Postal Code | 98406-2321 |
| Country | United States |
| Home Phone | 253 - 752-0548 |
| Work Phone | - |
| Fax | |
| scottcj98406@comcast.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Carolyn H - Jenkins |
| Date of Injury | 06-1938 |
| Type of Injury | Obstetric |