Provider Demographics
NPI:1831074376
Name:MUYVON, QUAN MARCEL ZIAIR
Entity type:Individual
Prefix:
First Name:QUAN
Middle Name:MARCEL ZIAIR
Last Name:MUYVON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20603 LIBBY RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-2922
Mailing Address - Country:US
Mailing Address - Phone:216-530-4601
Mailing Address - Fax:
Practice Address - Street 1:20603 LIBBY RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2922
Practice Address - Country:US
Practice Address - Phone:216-530-4601
Practice Address - Fax:216-530-4601
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide