| Street | 1551 W 13th St # 301 | ||
| City/Town | Upland | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 91786 | ||
| Phone Number | (909) 985-0256 | ||
| Country | United States |
| Full Name | Miss Daisy Torphy DDS | ||
| Gender | female | ||
| Birthday | 1991-11-20 | ||
| Social Security Number | 577-53-6125 |
| Credit card brand | Mastercard | ||
| Credit card number | 5452291961486963 | ||
| Expire | 2030/6 | ||
| CVV | 131 |