Provider Demographics
NPI:1932313475
Name:CINEK, JANICE KATHLEEN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:KATHLEEN
Last Name:CINEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 666
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490-0666
Mailing Address - Country:US
Mailing Address - Phone:707-459-5199
Mailing Address - Fax:
Practice Address - Street 1:28401 RYAN CREEK ROAD
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-0666
Practice Address - Country:US
Practice Address - Phone:707-459-5199
Practice Address - Fax:707-459-2655
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2009-12-01
Deactivation Date:2008-12-08
Deactivation Code:
Reactivation Date:2009-12-01
Provider Licenses
StateLicense IDTaxonomies
CA320799163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse