DIA-SAM-68
- Code
- DIA-SAM-68
- Mercy ID
- V-01736-02
- Last
- Diaz
- First
- Samuel
- DOB
- 09/08/1968
- County
- Gwinnett
- House
- (678) 558-7942
| CODE | DATE | SERVICE | INTAKE BY | CONTACT MODE | DATA ENTRY |
|---|---|---|---|---|---|
| DIA-SAM-68 | 11/16/2004 | Entrevista | R. Miranda | Face to face | K. Aleman |
| DIA-SAM-68 | 11/16/2004 | Information | R. Miranda | Face to face | K. Aleman |
| DIA-SAM-68 | 11/16/2004 | Intake | R. Miranda | Face to face | K. Aleman |
| DIA-SAM-68 | 10/23/2004 | Follow Up | R. Miranda | Telephone | K. Aleman |