Provider Demographics
NPI:1881235034
Name:ODUMA, JOY DENISE (MS, RD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:DENISE
Last Name:ODUMA
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:DENISE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,RD
Mailing Address - Street 1:U.S. NAVAL HOSPITAL, OKINAWA,
Mailing Address - Street 2:CAMP FOSTER
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6000 W HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32512-0001
Practice Address - Country:US
Practice Address - Phone:850-505-6210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered