| Street | 160 E Duarte Rd | ||
| City/Town | Arcadia | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 91006 | ||
| Phone Number | (626) 445-8165 | ||
| Country | United States |
| Full Name | Dr. Herbert Legros | ||
| Gender | male | ||
| Birthday | 1999-11-13 | ||
| Social Security Number | 062-02-3376 |
| Credit card brand | Discover | ||
| Credit card number | 6011521250443479 | ||
| Expire | 2028/10 | ||
| CVV | 104 |