| Contact Information | |
|---|---|
| First Name | ROXANNE |
| Last Name | ALLEN |
| Address | 1243 OLD BUCKINGHAM RD |
| City | PWHATAN |
| State | VA |
| Province | |
| Zip/Postal Code | 23139 |
| Country | United States |
| Home Phone | 804 - 492-3286 |
| Work Phone | - |
| Fax | |
| ROXXYALLEN@AOL.CM | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | ERB\'S - PALSY |
| Date of Injury | 05/16/03 |
| Type of Injury | Obstetric |