| Contact Information | |
|---|---|
| First Name | David |
| Last Name | Chan |
| Address | P.O. Box 1588 |
| City | Chesapeake Beach |
| State | MD |
| Province | |
| Zip/Postal Code | 20732 |
| Country | United States |
| Home Phone | 410 - 286-9468 |
| Work Phone | - |
| Fax | |
| davechan_99@hotmail.com | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Brachial Plexus - |
| Date of Injury | 09/26/06 |
| Type of Injury | Obstetric |