| Street | 23 Phai Vệ | ||
| City/Town | Thành phố Lạng Sơn | ||
| State/Province/Region | Tỉnh Lạng Sơn | ||
| Zip/Postal Code | 0253 | ||
| Phone Number | 025 3716 949 | ||
| Country | Vietnam |
| Full Name | Dr. Novella Larkin | ||
| Gender | female | ||
| Birthday | 1983-01-16 | ||
| Social Security Number |
| Credit card brand | EnRoute | ||
| Credit card number | 2014838851278914 | ||
| Expire | 2029/12 | ||
| CVV | 366 |