| Street | Morska 4 | ||
| City/Town | Sopot | ||
| State/Province/Region | Sopot | ||
| Zip/Postal Code | 81-764 | ||
| Phone Number | 58 550 72 43 | ||
| Country | Poland |
| Full Name | dr inż. Roksana Maciejewska | ||
| Gender | female | ||
| Birthday | 1976-05-26 | ||
| Social Security Number | 01322124751 |
| Credit card brand | American Express | ||
| Credit card number | 378728510552581 | ||
| Expire | 2029/6 | ||
| CVV | 031 |