| Street | 44100 Town Center Way | ||
| City/Town | Palm Desert | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 92260 | ||
| Phone Number | (760) 773-5053 | ||
| Country | United States |
| Full Name | Samara Balistreri | ||
| Gender | female | ||
| Birthday | 1974-07-18 | ||
| Social Security Number | 486-29-0160 |
| Credit card brand | American Express | ||
| Credit card number | 344274075062436 | ||
| Expire | 2030/10 | ||
| CVV | 110 |