| Street | 124 Riverside Ave | ||
| City/Town | Roseville | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 95678 | ||
| Phone Number | (916) 786-8219 | ||
| Country | United States |
| Full Name | Dr. Rudolph Ondricka | ||
| Gender | male | ||
| Birthday | 1988-03-02 | ||
| Social Security Number | 006-11-5495 |
| Credit card brand | American Express | ||
| Credit card number | 346191489019414 | ||
| Expire | 2028/6 | ||
| CVV | 539 |