| Street | 95 Rue Jules Guesde | ||
| City/Town | Villeneuve-d'Ascq | ||
| State/Province/Region | Nord | ||
| Zip/Postal Code | 59650 | ||
| Phone Number | 03 20 61 26 26 | ||
| Country | France |
| Full Name | Maryse-Agathe Pruvost | ||
| Gender | female | ||
| Birthday | 1997-03-25 | ||
| Social Security Number | 597-99-6176 |
| Credit card brand | Mastercard | ||
| Credit card number | 5426793323995170 | ||
| Expire | 2028/9 | ||
| CVV | 954 |