| Contact Information | |
|---|---|
| First Name | Nicole |
| Last Name | Harris |
| Address | 20906 Coronet Place |
| City | Lexington Park |
| State | MD |
| Province | |
| Zip/Postal Code | 20653 |
| Country | United States |
| Work Phone | - |
| Fax | |
| nicolemarae@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Juliette - Harris |
| Date of Injury | 04/12-2008 |
| Type of Injury | Obstetric |