| Street | 933 E University Dr | ||
| City/Town | Tempe | ||
| State/Province/Region | Arizona | ||
| Zip/Postal Code | 85281 | ||
| Phone Number | (480) 642-5822 | ||
| Country | United States |
| Full Name | Dr. Patrick Waelchi | ||
| Gender | male | ||
| Birthday | 1978-05-15 | ||
| Social Security Number | 550-99-7717 |
| Credit card brand | Visa | ||
| Credit card number | 4556625627296399 | ||
| Expire | 2031/11 | ||
| CVV | 384 |