| Street | Marcelino Champagnat 590 | ||
| City/Town | Sullana | ||
| State/Province/Region | Piura | ||
| Zip/Postal Code | 20100 | ||
| Phone Number | (073) 508738 | ||
| Country | Peru |
| Full Name | Lic. Emma Partida | ||
| Gender | female | ||
| Birthday | 1971-02-12 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3571007907895948 | ||
| Expire | 2028/3 | ||
| CVV | 781 |