Organization
WELL PERFORMANCE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN CARLOS RODRIGUEZ DC (OWNER/CEO)
(787) 469-8230
Entity
Organization
Contact information
Practice address
22611 MARKEY CT STE 105, STERLING, VA 20166-6925
(787) 469-8230
Mailing address
22611 MARKEY CT STE 105, STERLING, VA 20166-6925
(787) 469-8230
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
01/26/2024
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