| Street | Mueang Phayao District | ||
| City/Town | ตำบลเวียง | ||
| State/Province/Region | จังหวัดพะเยา | ||
| Zip/Postal Code | PHAYAO 56000 | ||
| Phone Number | 054 410 058 | ||
| Country | Thailand |
| Full Name | Adrienne Okuneva | ||
| Gender | female | ||
| Birthday | 1991-03-10 | ||
| Social Security Number |
| Credit card brand | EnRoute | ||
| Credit card number | 2014064166563276 | ||
| Expire | 2029/4 | ||
| CVV | 502 |