REY-EZE-01
- Code
- REY-EZE-01
- Mercy ID
- V-01134-21
- Encounter Date
- 05/19/2003
- Last
- Reyes
- First
- Ezequiel jr
- DOB
- 01/02/2001
- County
- Fulton
- Street
- 3381 La Vista Dr.
- City
- Hapeville
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Monica Ochoa | 06/10/1982 | Mexico |
| Father | Ezequiel Reyes | N/A | 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