| Street | Sinchi Roca 172 | ||
| City/Town | Los Baños del Inca | ||
| State/Province/Region | Cajamarca | ||
| Zip/Postal Code | 0600 | ||
| Phone Number | (076) 311283 | ||
| Country | Peru |
| Full Name | Dra. Amanda Carvajal | ||
| Gender | female | ||
| Birthday | 1990-02-25 | ||
| Social Security Number |
| Credit card brand | Voyager | ||
| Credit card number | 8699018102016160 | ||
| Expire | 2031/9 | ||
| CVV | 382 |