Provider Demographics
NPI:1891572822
Name:ILUFOYE, DEBORAH (MPH, CHES)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:ILUFOYE
Suffix:
Gender:F
Credentials:MPH, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10712 MARRIOTTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-1312
Mailing Address - Country:US
Mailing Address - Phone:443-985-9365
Mailing Address - Fax:
Practice Address - Street 1:10712 MARRIOTTSVILLE RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-1312
Practice Address - Country:US
Practice Address - Phone:443-985-9365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator