| Date of birth: | Aug 29, 1973 |
| Hair: | Black |
| Eyes: | Brown |
| Religion: | REFORMED |
| Probation/Parole officer: | MARY ANN SARMIENTO |
| Offender status: | PROBATION/PAROLE |
| Nmcd: | 49659 |
| Last known city state: | SAN JUAN PUEBLO, NM |
| Facility: | ESPANOLA DISTRICT OFC |
| Education: | 12 |
| Birth place: | NM |
| Booking location: | New Mexico |