| Street | 2300 228th Ave SE | ||
| City/Town | Sammamish | ||
| State/Province/Region | Washington | ||
| Zip/Postal Code | 98075 | ||
| Phone Number | (425) 837-4100 | ||
| Country | United States |
| Full Name | Miss Elisa Spencer DDS | ||
| Gender | female | ||
| Birthday | 1995-08-31 | ||
| Social Security Number | 231-99-0862 |
| Credit card brand | Voyager | ||
| Credit card number | 8699387718514508 | ||
| Expire | 2029/5 | ||
| CVV | 067 |