Contact Information | |
---|---|
First Name | Maria |
Last Name | Torres |
Address | 732 Schmitz Ave |
Apt.#2 | |
City | Denton |
State | TX |
Province | |
Zip/Postal Code | 76209 |
Country | United States |
Home Phone | 940 - 594-8314 |
Work Phone | 940 - 270-8146 |
Fax | |
maria.torres@corp.grandecom.com | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Child |
Name of Injured | Marisol - Salas |
Date of Injury | 12/07/2005 |
Type of Injury | Obstetric |