| Street | Arkonska 28 | ||
| City/Town | Szczecin | ||
| State/Province/Region | Szczecin | ||
| Zip/Postal Code | 71-470 | ||
| Phone Number | 502 640 661 | ||
| Country | Poland |
| Full Name | dr dr Ernest Chmielewski | ||
| Gender | male | ||
| Birthday | 1992-12-17 | ||
| Social Security Number | 01302292106 |
| Credit card brand | Visa | ||
| Credit card number | 4485960028850684 | ||
| Expire | 2030/8 | ||
| CVV | 568 |