| Street | 15030 N 99th Ave | ||
| City/Town | Sun City | ||
| State/Province/Region | Arizona | ||
| Zip/Postal Code | 85351 | ||
| Phone Number | (623) 977-5322 | ||
| Country | United States |
| Full Name | Ernestina Kuvalis | ||
| Gender | female | ||
| Birthday | 1977-01-29 | ||
| Social Security Number | 441-29-1029 |
| Credit card brand | American Express | ||
| Credit card number | 377105210491058 | ||
| Expire | 2027/12 | ||
| CVV | 398 |