| Street | 3100 Ocean St | ||
| City/Town | Carlsbad | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 92008 | ||
| Phone Number | (760) 720-1400 | ||
| Country | United States |
| Full Name | Nelson Crist | ||
| Gender | male | ||
| Birthday | 1970-04-28 | ||
| Social Security Number | 002-11-5275 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149869464059225 | ||
| Expire | 2030/11 | ||
| CVV | 963 |