| Contact Information | |
|---|---|
| First Name | benita |
| Last Name | vazquez |
| Address | 1950 andrews ave south |
| apt #2c2 | |
| City | bronx |
| State | NY |
| Province | |
| Zip/Postal Code | 10453 |
| Country | United States |
| vazquez1950@optonline.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Erb\'s palsy - |
| Date of Injury | 12/06/2008 |
| Type of Injury | Obstetric |