PER-DIA-91
- Code
- PER-DIA-91
- Mercy ID
- V-00245-11
- Encounter Date
- 07/12/2000
- Last
- Perez
- First
- Diana
- DOB
- 05/11/1991
- County
- Cobb
- Street
- 2151 Fateville Rd. Apt 2A
- City
- Marietta
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Sandra NiƱo Galvan | 06/13/1973 | Mexico |
| Father | bernando perez | 08/30/1959 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Parents
- Name of School
- vermon hill
- Grade
- 3rd.
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
DOB was changed from 5/13/91 to 5/11/91
Media
NO DOY PERMISO
- Intake
- K. Aleman
- Data Entry
- K. Aleman