| Street | Strada del Pasubio | ||
| City/Town | Vicenza | ||
| State/Province/Region | Vicenza | ||
| Zip/Postal Code | 36100 | ||
| Phone Number | 0444 927849 | ||
| Country | Italy |
| Full Name | Dott. Kristel Bruno | ||
| Gender | female | ||
| Birthday | 1975-05-13 | ||
| Social Security Number | BTJCAQ85U31Z963F |
| Credit card brand | Visa | ||
| Credit card number | 4716135737796566 | ||
| Expire | 2030/10 | ||
| CVV | 879 |