| Name |
Maternidad Mazon Costales |
| Sex |
female |
| Birth Date |
January 26, 1914 |
| Death Date |
October 17, 1989 |
| Age at Death |
75 years, 8 months, 21 days old |
| Birth Place |
Philippines |
| Death Place |
Alameda County, California |
| Father's Last Name |
Mazon |
| Mother's Maiden Name |
Calica |
| Social Security Number |
571-11-2699 |