| Street | 68 Moo 2;Kingkaew Road; Rachatheva; Bangplee, Samut Prakan |
| City/Town | ตำบลราชาเทวะ |
| State/Province/Region | จังหวัดสมุทรปราการ |
| Zip/Postal Code | 10540 |
| Phone Number | 02 315 9393 |
| Country | Thailand |
| Latitude | 13.6465 |
| Longitude | 100.715 |
| Full Name | Roosevelt Reinger MD |
| Gender | male |
| Birthday | 1970-12-09 |
| Social Security Number |
| Credit card brand | Voyager |
| Credit card number | 8699116362952494 |
| Expire | 2031/4 |
| CVV | 647 |