| Street | Jana Mikolaja Danilowicza 9 | ||
| City/Town | Wieliczka | ||
| State/Province/Region | Wieliczka | ||
| Zip/Postal Code | 32-020 | ||
| Phone Number | 12 278 50 59 | ||
| Country | Poland |
| Full Name | mgr Patrycja Kozłowska | ||
| Gender | female | ||
| Birthday | 1980-01-07 | ||
| Social Security Number | 76022423934 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149814470085426 | ||
| Expire | 2030/7 | ||
| CVV | 166 |