| Street | 1489 Beach Park Blvd | ||
| City/Town | Foster City | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 94404 | ||
| Phone Number | (650) 345-1762 | ||
| Country | United States |
| Full Name | Dr. Maynard Friesen Jr. | ||
| Gender | male | ||
| Birthday | 1971-09-13 | ||
| Social Security Number | 453-99-2246 |
| Credit card brand | Unionpay | ||
| Credit card number | 6253542440588012 | ||
| Expire | 2030/11 | ||
| CVV | 071 |