| Street | 2/1 Hongyok Utis Road, Muang District, Phuket, 83000 |
| City/Town | ภูเก็ต |
| State/Province/Region | จังหวัดภูเก็ต |
| Zip/Postal Code | 83000 |
| Phone Number | 076 254 425 |
| Country | Thailand |
| Latitude | 7.904195 |
| Longitude | 98.376175 |
| Full Name | Miss Maria Kub DVM |
| Gender | female |
| Birthday | 1973-04-10 |
| Social Security Number |
| Credit card brand | Discover |
| Credit card number | 6011410688111447 |
| Expire | 2028/5 |
| CVV | 822 |