| Street | Ruta Provincial nº 4 - km 19 - Termas de Reyes | ||
| City/Town | Municipio de San Salvador de Jujuy | ||
| State/Province/Region | Jujuy | ||
| Zip/Postal Code | 4601 | ||
| Phone Number | 0388 424-9700 | ||
| Country | Argentina |
| Full Name | Carolina Leal Hijo | ||
| Gender | female | ||
| Birthday | 1974-12-11 | ||
| Social Security Number |
| Credit card brand | Unionpay | ||
| Credit card number | 6281199734472357 | ||
| Expire | 2030/1 | ||
| CVV | 542 |