Individual
NIVIA RENE PATRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-9373
Mailing address
8063 N EL DORADO ST APT 1, STOCKTON, CA 95210-2326
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CFHRAZ
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/30/2025
Last updated
02/17/2026
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