| Street | Jr. Bolognesi 652 |
| City/Town | Trujillo |
| State/Province/Region | La Libertad |
| Zip/Postal Code | 13006 |
| Phone Number | (044) 291805 |
| Country | Peru |
| Latitude | -8.115102 |
| Longitude | -79.02837 |
| Full Name | Lic. Luciana Pantoja |
| Gender | female |
| Birthday | 1982-05-06 |
| Social Security Number |
| Credit card brand | Unionpay |
| Credit card number | 6282010361089928 |
| Expire | 2027/5 |
| CVV | 241 |