| Contact Information | |
|---|---|
| First Name | JEANNINE |
| Last Name | DAVIS |
| Address | 1800 SHELL-DRAKE CT |
| City | CHESAPEAKE |
| Province | |
| Zip/Postal Code | 23320 |
| Country | United States |
| Home Phone | 757 - 822-8675 |
| Work Phone | 757 - 609-3200 |
| Fax | |
| JJDJ09@NETZERO.COM | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | BRACHAIL PLEXUS - |
| Date of Injury | 03/18/00 |
| Type of Injury | Obstetric |