| Street | 22 Place Saint-Julien | ||
| City/Town | Laon | ||
| State/Province/Region | Aisne | ||
| Zip/Postal Code | 02000 | ||
| Phone Number | 03 23 79 00 78 | ||
| Country | France |
| Full Name | Noémi Diaz | ||
| Gender | female | ||
| Birthday | 1975-10-06 | ||
| Social Security Number | 867-96-6183 |
| Credit card brand | Discover | ||
| Credit card number | 6011405486606788 | ||
| Expire | 2031/10 | ||
| CVV | 618 |