| Contact Information | |
|---|---|
| First Name | Joe |
| Last Name | Allegranza |
| Address | |
| City | Yuma |
| State | AZ |
| Province | |
| Zip/Postal Code | 85364 |
| Country | United States |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| msbetsy@adelphia.net | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | brachial plexus - |
| Date of Injury | 05/18/05 |
| Type of Injury | Traumatic |