| Street | 9721 NE 119th Way | ||
| City/Town | Kirkland | ||
| State/Province/Region | Washington | ||
| Zip/Postal Code | 98034 | ||
| Phone Number | (425) 825-7372 | ||
| Country | United States |
| Full Name | Nedra Effertz MD | ||
| Gender | female | ||
| Birthday | 2000-10-27 | ||
| Social Security Number | 441-29-3275 |
| Credit card brand | Diners Club | ||
| Credit card number | 3001638502321292 | ||
| Expire | 2029/2 | ||
| CVV | 836 |