| Street | 917 Wyoming Ave | ||
| City/Town | Scranton | ||
| State/Province/Region | Pennsylvania | ||
| Zip/Postal Code | 18505 | ||
| Phone Number | (570) 341-3410 | ||
| Country | United States |
| Full Name | Dr. Fanny Johnson PhD | ||
| Gender | female | ||
| Birthday | 1972-07-28 | ||
| Social Security Number | 409-99-9344 |
| Credit card brand | JCB | ||
| Credit card number | 3525626848296911 | ||
| Expire | 2030/10 | ||
| CVV | 500 |