| Street | Mueang Surat Thani District |
| City/Town | สุราษฎร์ธานี |
| State/Province/Region | จังหวัดสุราษฎร์ธานี |
| Zip/Postal Code | 84000 |
| Phone Number | 077 221 111 |
| Country | Thailand |
| Latitude | 9.123844 |
| Longitude | 99.31109 |
| Full Name | Donna Sawayn MD |
| Gender | female |
| Birthday | 1971-02-20 |
| Social Security Number |
| Credit card brand | EnRoute |
| Credit card number | 2149483540322340 |
| Expire | 2027/10 |
| CVV | 200 |