| Street | 3790 Ashley Phosphate Road | ||
| City/Town | North Charleston | ||
| State/Province/Region | South Carolina | ||
| Zip/Postal Code | 29418 | ||
| Phone Number | (843) 760-2626 | ||
| Country | United States |
| Full Name | Dr. Berta Denesik I | ||
| Gender | male | ||
| Birthday | 1982-11-21 | ||
| Social Security Number | 221-13-1243 |
| Credit card brand | Voyager | ||
| Credit card number | 8699580589294891 | ||
| Expire | 2028/5 | ||
| CVV | 783 |