| Contact Information | |
|---|---|
| First Name | amanda |
| Last Name | bertaina |
| Address | 835 chesney lane |
| City | bel air |
| State | MD |
| Province | harford |
| Zip/Postal Code | 21014 |
| Country | United States |
| Home Phone | 410 - 8791589 |
| Work Phone | - |
| Fax | |
| amanda_bertaina@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | alyssa - geddie |
| Date of Injury | 07/30/2005 |
| Type of Injury | Obstetric |