Name |
Henry Provencio Fernandez |
Sex |
male |
Birth Date |
March 26, 1933 |
Death Date |
February 5, 1983 |
Age at Death |
49 years, 10 months, 10 days old |
Birth Place |
New Mexico |
Death Place |
Los Angeles County, California |
Mother's Maiden Name |
Provencio |
Social Security Number |
572-42-3867 |