| Street | 24105 Linden Blvd | ||
| City/Town | Elmont | ||
| State/Province/Region | New York | ||
| Zip/Postal Code | 11003 | ||
| Phone Number | (516) 792-6824 | ||
| Country | United States |
| Full Name | Mrs. Kiera Breitenberg | ||
| Gender | female | ||
| Birthday | 1984-04-17 | ||
| Social Security Number | 037-74-5935 |
| Credit card brand | Discover | ||
| Credit card number | 6011904137055841 | ||
| Expire | 2029/2 | ||
| CVV | 728 |