| Contact Information | |
|---|---|
| First Name | RAISA |
| Last Name | BERRIZ |
| Address | 14915 ALPINE BAY LOOP |
| City | GAINESVILLE |
| State | VA |
| Province | |
| Zip/Postal Code | 20155 |
| Country | United States |
| Home Phone | 703 - 7540605 |
| Work Phone | 571 - 2296451 |
| Fax | |
| 1RBERRIZ@COMCAST.NET | |
| Alternate Email | RBERRIZ@COMCAST.NET |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | ROBERT - BERRIZ |
| Date of Injury | 09/26/2008 |
| Type of Injury | Traumatic |