| Street | Calle Santa Catalina 210 | ||
| City/Town | Cerro Colorado | ||
| State/Province/Region | Arequipa | ||
| Zip/Postal Code | 0154 | ||
| Phone Number | (054) 287360 | ||
| Country | Peru |
| Full Name | Lic. Regina Camacho Cavazos | ||
| Gender | female | ||
| Birthday | 1981-03-06 | ||
| Social Security Number |
| Credit card brand | Diners Club | ||
| Credit card number | 3868382780005499 | ||
| Expire | 2030/11 | ||
| CVV | 239 |