| Street | 137 E 24th St | ||
| City/Town | Chester | ||
| State/Province/Region | Pennsylvania | ||
| Zip/Postal Code | 19013 | ||
| Phone Number | (610) 872-2777 | ||
| Country | United States |
| Full Name | Dr. Clifton Cummerata | ||
| Gender | male | ||
| Birthday | 1999-02-16 | ||
| Social Security Number | 502-37-7858 |
| Credit card brand | JCB | ||
| Credit card number | 3544169165530908 | ||
| Expire | 2029/9 | ||
| CVV | 846 |