SAN-HUM-82
- Code
- SAN-HUM-82
- Mercy ID
- V-00318-22
- Encounter Date
- 10/27/2000
- Last
- Santana
- First
- Humberto
- DOB
- 05/02/1982
- County
- Dekalb
- Street
- 1458 Northcliff Valley Way #C
- City
- Atlanta
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Norma Segura | 01/04/1960 | Mexico |
| Father | Pablo Santana | 07/07/1954 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Mother
- Name of School
- N/A
- Grade
- N/A
- 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
Media
NO DOY PERMISO
- Intake
- K. Aleman
- Data Entry
- K. Aleman