| Street | 2 De Mayo 333 | ||
| City/Town | Puerto Maldonado | ||
| State/Province/Region | Madre de Dios | ||
| Zip/Postal Code | 17001 | ||
| Phone Number | (082) 573464 | ||
| Country | Peru |
| Full Name | Clara Fátima Villa Terán | ||
| Gender | female | ||
| Birthday | 1970-02-20 | ||
| Social Security Number |
| Credit card brand | Unionpay | ||
| Credit card number | 6248229267917205 | ||
| Expire | 2029/1 | ||
| CVV | 609 |