Organization
AGAFAY WEIGHT LOSS CENTER LLC
Active
Other names
Agafay Weight Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
PENINNAH MUTUNGI MD (MD/OWNER)
(401) 787-8864
Entity
Organization
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 100, SAINT LOUIS, MO 63141-5937
(314) 914-4833
Mailing address
10420 OLD OLIVE STREET RD STE 100, SAINT LOUIS, MO 63141-5937
(314) 914-4833
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
04/22/2025
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