| Contact Information | |
|---|---|
| First Name | Maria |
| Last Name | Torres |
| Address | 7222 S. 90Th E.Ave. |
| Apt. #2087 | |
| City | Tulsa |
| State | OK |
| Province | |
| Zip/Postal Code | 74133 |
| Country | United States |
| Home Phone | 918 - 402-3884 |
| Work Phone | - |
| Fax | |
| mrm1239@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Marisol - |
| Date of Injury | 12/07/2005 |
| Type of Injury | Obstetric |