| Contact Information | |
|---|---|
| First Name | Cristina |
| Last Name | Guadalajara |
| Address | 955 Brighton |
| City | San Antonio |
| State | TX |
| Province | |
| Zip/Postal Code | 78211 |
| Country | United States |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| cgjvv@hotmail.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Cristina - Guadalajara |
| Date of Injury | 09/12/1979 |
| Type of Injury | Obstetric |