| Street | 1817 Victory Blvd |
| City/Town | Staten Island |
| State/Province/Region | North Dakota |
| Zip/Postal Code | 10314 |
| Phone Number | (718) 815-8500 |
| Country | United States |
| Latitude | 40.613199 |
| Longitude | -74.123982 |
| Full Name | Marjolaine Beer DVM |
| Gender | female |
| Birthday | 1974-03-21 |
| Social Security Number | 089-02-7182 |
| Credit card brand | Diners Club |
| Credit card number | 3003118905629821 |
| Expire | 2031/4 |
| CVV | 856 |