| Street | Obroncow Pokoju 5 |
| City/Town | Karpacz |
| State/Province/Region | N/A |
| Zip/Postal Code | 58-540 |
| Phone Number | 75 752 70 00 |
| Country | Poland |
| Latitude | 50.772356 |
| Longitude | 15.763717 |
| Full Name | dr Marta Przybylska |
| Gender | female |
| Birthday | 1977-10-12 |
| Social Security Number | 10261391108 |
| Credit card brand | JCB |
| Credit card number | 3522746324101717 |
| Expire | 2029/12 |
| CVV | 926 |